NPI | 1326158569 |
---|---|
Doing Business As | MOUNTAINVIEW OB GYN |
Entity Type | Organization |
Authorized Contact | TIFFANY S BOUDREAU Office Manager 702-242-5155 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-22 |